• David Cameron says Britain is dealing with its debts 'in a fair way'• He is under pressure as growth forecasts are likely to be downgraded again• The Chancellor says there is 'no miracle cure' for UK's economic problems• Email me on rowena.mason@telegraph.co.uk or tweet me your thoughts @rowenamason

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12.34 Ann Clywd, a Labour MP, is close to tears as she calls for more care in the NHS, after previously describing how she felt her husband died in a battery farm on a hospital ward. David Cameron expresses deep sympathy and says there are "very real problems" with people not getting the kind of care that's appropriate in hospitals.

12.31 From Tim Ross, political correspondent, inside the House of Commons:

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The Chancellor sits stony faced on the front bench, holding his statement on his lap, as David Cameron says MPs will hear an update on the deficit reduction shortly. Osborne also seems to be chewing on a sweet. He's checked his Blackberry and has just made a handwritten note in pen on his statement.

He has a bunch of papers, with pink stickers marking pages. A good turn out from the Cabinet, as you'd expect, though Lib Dem ministers in short supply. No Vince.

Highly unusually, Iain Duncan Smith has actually decided to sit on the front bench for PMQs. He normally stands at the back of the Commons with his arms folded, watching from a distance. Today, he's bagged a seat next to the Chancellor. What will Osborne say about cuts to welfare?

12.31 The PM is given a tricky question on planning after Nick Boles, a planning minister, said we should build on millions of acres of British greenfield land. David Cameron says it is not fair that people in their 30s cannot afford to buy homes without help from the bank of mum and dad.

Yes we should build on brownfield land and yes there is a question about empty houses but we do need to have afrank conversation about the need to build more flats and more houses.... All credit to the planning minister for trying to fix this problem.

12.29 There's another question on companies that don't pay very much tax. Anas Sarwar of Labour says Amazon should not have got a government grant when it paid hardly anything to the exchequer. David Cameron claims he is on the same page on this issue:

Where some companies have been pursuing strange policies to run down their tax bills... HMRC knows there's very much more we can do.

12.25 Nic Dakin, Labour MP, says hospitals are "full to bursting" and quality of care is getting worse as staff are cut. David Cameron repeats a point from earlier that Labour's record on the NHS is worse where they are in control in Wales. Tory MP Rob Wilson records that as a victory for the PM:

12.23 This is the verdict so far from Sophy Ridge, Sky political correspondent:

<noframe>Twitter: Sophy Ridge - David Cameron is on confident form at <a href="http://search.twitter.com/search?q=pmqs" target="_blank">#pmqs</a> today</noframe>

12.22 Mr Cameron is now promising political pressure to persuade companies to pay their fair share of taxes and not engage in complicated avoidance schemes.

It's important that people feel they meet their responsibilities and pay their tax

12.20 Eleanor Laing gives the Prime Minister some relief by calling for the laws of succession to be changed speedily to allow a girl born to the Duke and Duchess of Cambridge to take the throne. Mr Cameron confirms legal changes will do this even if they are brought in after the royal baby is born.

12.19 Paul Burstow asks for a new offence of corporate manslaughter to prosecute companies that allow neglect of people in care homes. Mr Cameron says there have been appalling cases but current laws are sufficient.

12.17 He's now defending the Coalition's record on child poverty in answer to a question from former minister Margaret Beckett.

12.16 MrCameron is now tackling a question from Labour's Lindsay Roy on whether cuts to the Border Agency are harming controls. He says he wants to do better in policing the borders but the cuts are about "getting more for less".

12.15 The two leaders are in a war of statistics now over the national debts and NHS. Miliband slips in a jibe about the Prime Minister's "airbrushed face" on posters promising to maintain health spending and cut borrowing. Cameron says the Coalition has kept those promises to increase health spending and reduce the deficit.

12.12 The Labour leader attacks both Mr Cameron and Nick Clegg, the deputy Prime Minister, over allowing the cut to the top rate of tax from 50p to 45p - saving £107,000 for 8,000 high earners. He says it is shameful for Mr Clegg from the party of Lloyd George to have sat by and let it happen

12.11 Ed Miliband moves on to tax cuts for millionaires. The Prime Minister says he's "not surprise he wants to get off health" as that was "the biggest own goal" the Commons has even seen.

12.10 David Cameronquotes Andy Burnham, the shadow health secretary, saying Labour would cut the NHS even more. Boos and cheers in the Commons - it's getting really rowdy. Ed Miliband can hardly make himself heard.

12.08 Mr Milband accuses the Prime Minister of being "slippery even by his standards" and demands a clarification.

He made a promise that he would keep the NHS budget rising in real terms in every year of the Parliament. He cut the budget. He knows the reality. He made a solemn promise to the British people. He broke the promise... Come on, why don't you just admit it?

12.06 Ed Miliband, the Labour leader, asks his first question - as expected - on the Conservatives' dodgy boasts about the NHS. The Tories were rapped by the UK National Statistics Authority over its claims about increasing health spending.

David Cameron insists that the Government has delivered "real terms increases" to the NHS budget.

12.04 The Prime Minister gets a laugh as he slips up and refers to his duties in his house, rather than THE House of Commons. He recovers to defend the Coalition's record on nursing and implementation of the Leveson Report.

12.03 He takes his first question on Afghanistan and promises that Britain will continue to support the country after troops have withdrawn so that it never again becomes a "haven of international terror"

12.01 David Cameron is up at the despatch box, congratulating the Duke and Duchess of Cambridge on the news they are expecting a baby. He says it is the "perfect news" to round off the Jubilee year.

11.59 James Lyons, of the Daily Mirror, believes there may be a metaphor in the PM's hairdo:

<noframe>Twitter: JamesLyons - Growth getting as sparse on the PM's head as it is in the economy - the comb- over is a feat of engineering today <a href="http://search.twitter.com/search?q=hairunit" target="_blank">#hairunit</a> <a href="http://search.twitter.com/search?q=pmqs" target="_blank">#pmqs</a></noframe>

11.56 Aside from economic gloom, the Prime Minister may be grilled by Labour over misleading statistics on the NHS. Tim Ross, our political correspondent, reported today that the UK Statistics Authority order the Conservatives to water down their boasts about protecting NHS spending.

11.54 Our Telegraph finance section has also done a round-up of what to expect when the Chancellor stands up later.

11.51 Adam Boulton, Sky News political editor, has done a neat summary of Mr Osborne's reasons to be cheerful and gloomy.

11.45 David Cameron will be addressing the House of Commons as usual at 12 noon, followed by his Chancellor just after 12.30pm. It's going to be a heavy viewing schedule. George Osborne is already trending on Twitter - and not in a good way.

11.39 We reported this morning that Edward Davey, the Lib Dem Energy Secretary, has announced £1.8 billion of "climate aid" for poorer countries on the eve of the Budget. It's another headache for the Conservative leadership as backbench Tories criticised the huge sum - equivalent to £70 per household - as the Chancellor asks households to bear more financial pain. Greg Barker, a Conservative Climate Change Minister, defended the move this morning to Louise Gray, our environment correspondent in Doha.

11.33 The Chancellor is facing a battle to persuade voters and his own party that he is best man for the job, according to Benedict Brogan, the Telegraph's deputy editor. He writes in his daily political email:

It's a difficult day for George Osborne, who has nothing much in the way of good news to offer, and plenty of bad. For public consumption he needs to give an honest assessment of where we are and what the next five years look like.

His only chance of making the Tories electable in 2015 lies in persuading the voters that he and David Cameron, more than anyone else, are the best guarantors of sustainable, affordable recovery. But his other task is to shore up his share price in Westminster and in particular on the Tory benches.....

The number of his Cabinet and backbench enemies is growing, in part because his approach is seen by some as bullying. There is nothing wrong with that, of course, but only if he can demonstrate that he wields his stick with a purpose. Today he will be watched by his own side for evidence that he has a plan and that it is credible.

11.32 The big story of the day is George Osborne's Autumn Statement - a mini-Budget setting out tax rises and spending cuts. All the hints so far point to a statement that is short on Christmas cheer. The Chancellor released some words last night saying there is "no miracle cure" for the economy". He is expected to set out plans for national austerity lasting at least another five years and call on everyone to "make a contribution” towards paying down the deficit.

11.30 Welcome to the Prime Minister's Question Time liveblog for November 28 2012.